GEORGE KHOUDARI MD
NPI 1578978995
Internal Medicine - Gastroenterology in Port St Lucie, FL

Active since June 24, 2014PECOS EnrolledAccepts Medicare Assignment
10050 SW INNOVATION WAY, PORT ST LUCIE, FL 34987(772) 223-5945(772) 345-5365 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2024, Jul 21, 2022, Aug 24, 2017 (3 updates tracked since 2017).

About George Khoudari Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGE KHOUDARI MD (NPI 1578978995) is an individual gastroenterology provider in Port St Lucie, Florida, licensed in Florida (ME168343) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1578978995
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameGEORGE KHOUDARICredential: MD
Location Address10050 SW INNOVATION WAYPort St Lucie, FL 34987-2117
Mailing Address10050 Sw Innovation WayPort St Lucie, FL 34987-2117 · (772) 223-5945 · Fax (772) 345-5365
Fax(772) 345-5365
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 24, 2014
Last NPPES UpdateJuly 1, 20243 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
NPI 1578978995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in FL · ME168343
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35.131927 (OH)
10050 SW INNOVATION WAY, Port St Lucie, FL 34987

Secondary Practice Locations 2

Location 13800 Reservoir Rd NWWashington, DC 20007-2113 · Phone (202) 444-2855 · Fax (877) 303-1462
Location 29500 Euclid AveCleveland, OH 44195-4122 · Phone (216) 446-0346

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

George Khoudari Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284908682
PECOS Enrollment IDI20240821004906
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
32 services32 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
23 services23 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Cleveland Clinic Indian River Hospital

Acute Care Hospitals · Vero Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100105
Location1000 36th StVero Beach, FL 32960 · Indian River County
Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34987 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
10050 SW INNOVATION WAY
PORT ST LUCIE, FL 34987
Physician Assistant (Surgical)
10050 SW INNOVATION WAY, SUITE 102
PORT ST. LUCIE, FL 34987
Dietitian, Registered
10050 SW INNOVATION WAY, SUITE 201
PORT ST LUCIE, FL 34987
Nurse Practitioner (Adult Health)
10050 SW INNOVATION WAY
PORT ST LUCIE, FL 34987
Acupuncturist
10050 SW INNOVATION WAY, SUITE 201
PORT ST LUCIE, FL 34987
Surgery
10050 SW INNOVATION WAY
PORT ST LUCIE, FL 34987
Dietitian, Registered
10050 SW INNOVATION WAY, SUITE 201
PORT ST LUCIE, FL 34987
Chiropractor
10050 SW INNOVATION WAY, SUITE 201
PORT ST LUCIE, FL 34987

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is George Khoudari's NPI number?

The NPI number for George Khoudari is 1578978995. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is George Khoudari located?

George Khoudari practices at 10050 SW Innovation Way, Port St Lucie, FL 34987. The listed phone number is (772) 223-5945.

What is George Khoudari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is George Khoudari enrolled in Medicare?

Yes. George Khoudari is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does George Khoudari accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list George Khoudari as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is George Khoudari affiliated with any hospitals?

According to CMS data, George Khoudari is affiliated with Cleveland Clinic Martin North Hospital, Cleveland Clinic Indian River Hospital and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for George Khoudari was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.